Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $10,122.46 / $27,982.24	Facility		$1,987.50	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $2,332.00	Professional		$1,987.50	$1,987.50	$2,332.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,711.70 / $3,427.73 / $7,755.51	Professional		$1,711.70	$3,427.73	$7,755.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.00 / $642.32 / $7,619.35	Professional		$406.00	$642.32	$7,619.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,668.11 / $5,668.11 / $5,668.11	Professional		$5,668.11	$5,668.11	$5,668.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $5,793.00	Facility		$650.00	$1,120.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,363.86 / $2,363.86 / $2,363.86	Professional		$2,363.86	$2,363.86	$2,363.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,810.80 / $2,810.80 / $2,810.80	Professional		$2,810.80	$2,810.80	$2,810.80